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DR. BINNY ABRAHAM M.D.
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1760657647
Individual Registrant:DR. BINNY ABRAHAM M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
20 YORK ST NEW HAVEN, CT 06510-3220 US
Tel: 203-688-4242 Fax: --
Tel: 203-688-4242 Fax: --
Contact information for business:
158 PADDOCK AVE APT. 1905 MERIDEN, CT 06450-6972 US
Tel: 203-639-8019 Fax: --
Tel: 203-639-8019 Fax: --
Registration Information:
NPI: 1760657647
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program | CT |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
